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Massachusetts rates for HCPCS L3252

Foot Shoe Molded To Patient Model Plastazote (Or Similar) Custom Fabricated Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.56 / $82.56 / $82.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $82.56 / $114.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $630.79 / $662.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.92 / $154.72 / $419.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.25 / $56.50 / $136.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.25 / $220.25 / $231.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.34 / $241.34 / $241.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.98 / $662.25 / $662.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $93.10 / $191.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.58 / $96.82 / $174.43